| NPI | 1487627485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SACCIO Billing Manager 818-528-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT6807) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2022-07-21 |